Should you stop azathioprine before surgery

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  • Commence IV unfractionated heparin when INR <2
  • Grant said
  • You may not feel any different at first, however azathioprine is likely to be working

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    Biologics and targeted therapies including tumor necrosis alpha (TNF) inhibitors, abatacept, rituximab, tocilizumab, secukinumab, ustekinumab

    Blood thinners such as aspirin, Coumadin®, Xarelto®, or Eliquis® should be stopped before surgery

    For planned procedures, your doctor(s) will need the drug list to advise you what to stop and what not to stop

    Azathioprine Brand name: Imuran

    (Because azathioprine is an immunosuppressive medicine, it can lower the number of white blood cells in your blood, increasing the chance of getting an infection

    16 Therefore, we recommend holding the medication 7 days before surgery and resuming as early as 14 days after surgery

    Key takeaways: Aspirin is an important daily medication for a lot of people

    If you take any of the medicines on the following list, take your morning dose with a small sip of water before you go to the hospital

    However, others have recommended minor tapering or simply continuing these medications in the perioperative period

    enoxaparin 1 mg/kg Q12h) at treatment dose when INR <2

    Patients with rheumatoid arthritis (RA) frequently undergo surgery, particularly orthopedic surgery, even in the era of modern therapy [ 1, 2 ]

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